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MIND READY AND RESILIENT SYMPOSIUM SEP 24th 2026 9:00 AM - 4:30 PM
1.
Name: First and Last Name
2.
Organization:
3.
Prevention Field:
Substance Use
Domestic Violence
Suicide
First Responder
Law Enforcement
Military
Justice Involved
Education
Mental Health Support
Peer Specialist
Other (please specify)
4.
Email:
5.
Will you be attending the event?
Yes
No
6.
Do you have any dietary restrictions?
7.
Are there any questions you would like to be addressed at this event?
8.
How would you like to receive additional information about the event?
Phone call
Text
Email
Include phone number or email address
9.
In what dimension do you need more balance?
Intellectual
Physical Health
Financial
Social
Occupational
Spiritual
Emotional
Environmental
10.
Are you interested in Self-Care: Importance of Massage
Yes
No
11.
Would you like to try some new fitness techniques?
Yes
No
12.
Would you also like to support the event as a...
Volunteer
Resource Table
Service Provider
None of the above
Current Progress,
0 of 12 answered